Organization Active NPI

Sanchez de Fuentes and Real MD PA

  • Specialist
  • Kissimmee, FL
National Provider Identifier
1801974548
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0063371 Issued in FL
Legal business name
SANCHEZ DE FUENTES AND REAL MD PA
Practice address
1170 Cypress Glen Circle
Hunter'S Creek Professional Park
Kissimmee, FL 34741-4998
Phone
(407) 847-6166
Fax
(407) 847-5112
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard A Real, M.D.
Title
President
Phone
(407) 847-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0063371 FL Primary

Addresses

Primary practice location

1170 Cypress Glen Circle
Hunter'S Creek Professional Park
Kissimmee, FL 34741-4998

Mailing address

1170 Cypress Glen Cir
Hunter'S Creek Professional Park
Kissimmee, FL 34741-7560
Phone (407) 847-6166

Other identifiers 5

IdentifierTypeStateIssuer
376506700MedicaidFL
DB00330OtherFLRAILROAD MEDICARE
1174528236OtherFLPERSONAL NPI NUMBER
K351OtherFLMEDICARE GROUP
ME0063371OtherFLSTATE MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1801974548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CYPRESS GLEN CIR",
            "address_2": "HUNTER'S CREEK PROFESSIONAL PARK",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-847-6166",
            "fax_number": "407-847-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CYPRESS GLEN CIRCLE",
            "address_2": "HUNTER'S CREEK PROFESSIONAL PARK",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414998",
            "telephone_number": "407-847-6166",
            "fax_number": "407-847-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCHEZ DE FUENTES AND REAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "REAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-847-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0063371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376506700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB00330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1174528236",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K351",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME0063371",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.